Individual
EDGAR MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Mailing address
1623 FLATBUSH AVE, BROOKLYN, NY 11210-3262
(718) 377-5755
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/19/2025
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